Concentric circumareolar approach in treatment of gynecomastia

VernacularTitle:双环法治疗男性乳房发育症
Author: Jing HAN ; Hong QUAN ; Weiguo YAN ; Hanzhi DING
Publication Type:Journal Article
Keywords: Gynecomastia; Breast hypertrophy; Concentric circumareolar incision
From: Journal of Endocrine Surgery 2012;06(5):346-348
CountryChina
Language:Chinese
Abstract: ObjectiveTo discuss the method and significance of concentric circumareolar approach in treatment of gynecomastia.MethodsThe incision was designed with the patient in a standing position.The location of the new nipple was determined,around which a outer cycle with the diameter of 5 cm was marked.And then a concentric inner circle with the diameter of 2.5 -3 cm was marked around the original nipple.The bilateral nipple position should be on the same level.A rim of tissue around the nipple-areola complex( NAC )was deepithelialized,excision of excess glandular tissue was performed subcutaneously and vascular network of dermis was preserved as much as possible.The purse string suture was applied in the circumareolar incision.Results 30 patients with gynecomastia were treated with this method.The result of the operation was pleasing with good aesthetic appearance,normal blood supply,and inconspicuous scars.Conclusion As a surgical approach of gynaecomastia,concentric circumareolar incision can remove excess glandular tissues and redundant skin,and has the benefit of concealing incision,simple procedure and satisfactory outcome.